Collop, John R

Collop, John R is an individual health care provider with primary practice located at 7300 N Canton Center Rd Emergency Medicine Dept, Canton MI 48187-1579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Collop, John R can be contacted via phone (734) 454-8002.

Contact Information

Primary practice address
7300 N Canton Center Rd Emergency Medicine Dept Canton MI 48187-1579
Phone: (734) 454-8002
Fax: (734) 454-2733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101007293 Michigan

Profile Details

NPI number 1043256167
LBN Legal business name Collop, John R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043256167 NPPES
Michigan MEDICAID 10432561167
Michigan MEDICAID 4661689
Michigan MEDICAID 4849246
Michigan Other JC007293

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